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Radiation Oncology • Gynecologic Cancers
Would you alter your treatment algorithm for uterus mesonephric-like adenocarcinoma?
Mesonephric is described as a higher grade histology. For a superficially invasive IA (no LVSI, age < 60), would you consider vaginal brachytherapy?
Answer from: Radiation Oncologist at Community Practice
Very rare entity and would follow management principles for high grade (g3) endometrial cancer.
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Answer from: Radiation Oncologist at Academic Institution
Would strongly recommend VCB regardless of other pathological factors for a mesonephric or mesonephric-like adenocarcinoma. We generally treat these similarly to type II (serous/clear cell/carcinosarcoma) endometrial cancers and recommend chemotherapy as well, especially if myoinvasive. No prospecti...
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Radiation Oncologist at Maimonides Medical Center
We did just that. Thank you.
We did just that. Thank you.
Answer from: Radiation Oncologist at Community Practice
For IA grade 3 mesonephric adeno ca, I would consider vaginal cuff brachytherapy.